Individual
JEFFREY MICHAEL MCCUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0005713
MD
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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